# KANSAS HEART HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114928108
- **Authorized official:** THOMAS L. ASHCOM MD, PHD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (316) 630-5000

## Contact information

- **Practice address:** 3601 N WEBB RD., WICHITA, KS 67226-8129
- **Practice address phone:** (316) 630-5000
- **Practice address fax:** (316) 630-5050
- **Mailing address:** 3601 N WEBB RD., WICHITA, KS 67226-8129
- **Mailing address phone:** (316) 630-5000
- **Mailing address fax:** (316) 630-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H087009 | KS | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 08/11/2023